Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.05 / $153.10 / $436.09	Facility		$62.05	$153.10	$436.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $73.72	Professional		$61.44	$62.05	$73.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $122.88 / $148.68	Facility		$61.44	$122.88	$148.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $84.78	Professional		$61.44	$61.44	$84.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $92.16	Facility		$61.44	$61.44	$92.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $76.80	Professional		$61.44	$61.44	$76.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $79.48	Facility		$61.44	$61.44	$79.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $78.43	Professional		$61.44	$61.44	$78.43
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $78.66	Professional		$61.44	$65.13	$78.66